| NPI | 1083396188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP038665T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP030224T) |
| 225100000X Physical Therapist (Licence: NC CP024898T) | |
| 225100000X Physical Therapist (Licence: FL PT42382) | |
| 225100000X Physical Therapist (Licence: LA CP026844T) | |
| 225100000X Physical Therapist (Licence: KY 008864) | |
| 225100000X Physical Therapist (Licence: KY 8864) | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-12-16 |