| NPI | 1831854611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP046622T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1350700) |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2025-07-14 |