| NPI | 1881831352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P11695) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205795) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2025-09-02 |