| NPI | 1811546187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213327) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19001) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2025-11-13 |