| NPI | 1205324258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 14.013933) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05015176A) |
| 225100000X Physical Therapist (Licence: VA 2305215630) | |
| 225100000X Physical Therapist (Licence: MI 5501006522) | |
| 225100000X Physical Therapist (Licence: CO 0018036) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2024-01-09 |