| NPI | 1932074010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305217501) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 13290) |
| 225100000X Physical Therapist (Licence: GA PT018082) | |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2026-03-03 |