| NPI | 1821668112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216228) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT37298) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2026-01-27 |