| NPI | 1992221816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24209) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211304) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2025-10-09 |