| NPI | 1326634486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP014721T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28194) |
| 225100000X Physical Therapist (Licence: NC P-CP010157T) | |
| 225100000X Physical Therapist (Licence: VA 28194) | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2023-05-22 |