| NPI | 1750269965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP056649T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0015098) |
| 225100000X Physical Therapist (Licence: SC CP051318T) | |
| 225100000X Physical Therapist (Licence: PA PT033780) | |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2026-06-10 |