| NPI | 1306680095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP035540T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY CP032601T) |
| 225100000X Physical Therapist (Licence: WA PT61504214) | |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-11-23 |