| NPI | 1285133207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216326) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19165) |
| 225100000X Physical Therapist (Licence: TN 15554) | |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2024-09-26 |