| NPI | 1952084634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020646) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 050841) |
| 225100000X Physical Therapist (Licence: VA 2305215958) | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2025-06-24 |