| NPI | 1154000628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP035243T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK CP026186T) |
| 225100000X Physical Therapist (Licence: MN 13035) | |
| 225100000X Physical Therapist (Licence: ND 2768) | |
| 225100000X Physical Therapist (Licence: CO CP036988T) | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-12-24 |