| NPI | 1245165117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP063014T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL89031) |
| 225100000X Physical Therapist (Licence: GA CP033532T) | |
| 225100000X Physical Therapist (Licence: SC 12544) | |
| 225100000X Physical Therapist (Licence: FL PT44971) | |
| 225100000X Physical Therapist (Licence: CA 311013) | |
| Enumeration Date | 2026-06-15 |
| Last Update Date | 2026-10-12 |