| NPI | 1922409275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV CP046271T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8379) |
| 225100000X Physical Therapist (Licence: VA CP043047T) | |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2025-06-26 |