| NPI | 1831077163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305217377) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 14098) |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2026-02-20 |