| NPI | 1770170185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214026) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2025-05-01 |