| NPI | 1326111303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-6375) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61605071) |
| 225100000X Physical Therapist (Licence: NM 3030) | |
| 225100000X Physical Therapist (Licence: MN 6111) | |
| 225100000X Physical Therapist (Licence: CO PTL-9823) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2025-09-03 |