| NPI | 1861023293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP058053T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 4701) |
| 225100000X Physical Therapist (Licence: KY CP053468T) | |
| 225100000X Physical Therapist (Licence: MO CP044049T) | |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2026-05-27 |