| NPI | 1821823311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216716) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 30457) |
| 225100000X Physical Therapist (Licence: FL PT42011) | |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2026-03-06 |