| NPI | 1083268148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-33031) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0016493) |
| 225100000X Physical Therapist (Licence: TX 1393090) | |
| 225100000X Physical Therapist (Licence: CA 300144) | |
| 225100000X Physical Therapist (Licence: WI 17511-24) | |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2025-10-21 |