| NPI | 1265776199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008245) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP031100T) |
| 225100000X Physical Therapist (Licence: NC CP025837T) | |
| 225100000X Physical Therapist (Licence: TN CP024435T) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2024-05-21 |