| NPI | 1992171862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP049299T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT004599) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2026-02-27 |