| NPI | 1053458505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 05612) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11376-024) |
| 225100000X Physical Therapist (Licence: CA 299647) | |
| 225100000X Physical Therapist (Licence: ID PT7486) | |
| 225100000X Physical Therapist (Licence: MA 25331) | |
| 225100000X Physical Therapist (Licence: HI PT3201) | |
| 225100000X Physical Therapist (Licence: NV 4131) | |
| 225100000X Physical Therapist (Licence: PA PT029294) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2026-02-06 |