| NPI | 1083029490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT5901) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 073799) |
| 225100000X Physical Therapist (Licence: NE 3333) | |
| 225100000X Physical Therapist (Licence: ND 1781) | |
| 225100000X Physical Therapist (Licence: MN 9817) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2025-04-07 |