| NPI | 1992091763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213238) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23658) |
| 225100000X Physical Therapist (Licence: CA 292097) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2025-06-18 |