| NPI | 1144091612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT4656) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 298319) |
| 225100000X Physical Therapist (Licence: WA CP014279T) | |
| 225100000X Physical Therapist (Licence: HI PT5057) | |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |