| NPI | 1881448090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216697) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR CP059485T) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2026-08-10 |