| NPI | 1972152239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP051547T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD CP043812T) |
| 225100000X Physical Therapist (Licence: GA PT014328) | |
| 225100000X Physical Therapist (Licence: DC CP038502T) | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2025-12-10 |