| NPI | 1013460856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22150) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 305403) |
| 225100000X Physical Therapist (Licence: IL 070028001) | |
| 225100000X Physical Therapist (Licence: NY 051719) | |
| 225100000X Physical Therapist (Licence: PA PT031946) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2025-03-11 |