| NPI | 1184151995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 21409) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 11586) |
| 225100000X Physical Therapist (Licence: SC CP036913T) | |
| 225100000X Physical Therapist (Licence: TX 1271761) | |
| 225100000X Physical Therapist (Licence: AZ CP046634T) | |
| 225100000X Physical Therapist (Licence: OR CP042422T) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2026-08-03 |