| NPI | 1174235121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP059575T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH11258) |
| 225100000X Physical Therapist (Licence: AK 238801) | |
| 225100000X Physical Therapist (Licence: SC 11657) | |
| 225100000X Physical Therapist (Licence: TN 14596) | |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2026-08-24 |