| NPI | 1942910401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215473) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP046340T) |
| Enumeration Date | 2022-11-24 |
| Last Update Date | 2025-07-23 |