| NPI | 1053096792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP033602T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2021025555) |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: NJ 40QA02011000) | |
| 225100000X Physical Therapist (Licence: HI PT-5930) | |
| 225100000X Physical Therapist (Licence: MA PTL26875) | |
| 225100000X Physical Therapist (Licence: AZ CP025960T) | |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2024-12-03 |