| NPI | 1215447834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT-2023-2185) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60917645) |
| 225100000X Physical Therapist (Licence: NC P17340) | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2024-03-21 |