| NPI | 1851884746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212485) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV CP042357T) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2025-02-25 |