| NPI | 1104477025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA CP049162T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-32781) |
| 225100000X Physical Therapist (Licence: NC CP049160T) | |
| 225100000X Physical Therapist (Licence: NM PT-2025-0209) | |
| 225100000X Physical Therapist (Licence: FL PT43062) | |
| 225100000X Physical Therapist (Licence: TX CP049159T) | |
| 225100000X Physical Therapist (Licence: SC CP049161T) | |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2025-09-03 |