| NPI | 1245855691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10826) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP015275T) |
| 225100000X Physical Therapist (Licence: AZ CP008688T) | |
| 225100000X Physical Therapist (Licence: WI 15044-24) | |
| 225100000X Physical Therapist (Licence: GA PT014720) | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2023-02-06 |