| NPI | 1942678792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211264) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 31942) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2025-04-15 |