| NPI | 1013654649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002350) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 302111) |
| 225100000X Physical Therapist (Licence: RI PT03658) | |
| 225100000X Physical Therapist (Licence: VA 2305215540) | |
| 225100000X Physical Therapist (Licence: CO 0018563) | |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2023-08-16 |