| NPI | 1821646753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT018146) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT210002175) |
| 225100000X Physical Therapist (Licence: VA 2305213137) | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2026-06-04 |