| NPI | 1003551029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0020053) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 27499) |
| 225100000X Physical Therapist (Licence: NY 047673) | |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2024-10-07 |