| NPI | 1144853052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002432) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 16280-24) |
| 225100000X Physical Therapist (Licence: PA PT028230) | |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2024-03-11 |