| NPI | 1770257552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216913) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT37511) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2025-05-13 |