| NPI | 1124884879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT5429) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP046987T) |
| 225100000X Physical Therapist (Licence: SC CP042862T) | |
| 225100000X Physical Therapist (Licence: KS 11-07742) | |
| 225100000X Physical Therapist (Licence: TX CP056256T) | |
| 225100000X Physical Therapist (Licence: MO CP038877T) | |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2026-05-12 |