| NPI | 1306410857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP024217T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-31756) |
| 225100000X Physical Therapist (Licence: TN 14660) | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2023-08-09 |