| NPI | 1326735382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH CP026902T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP010794T) |
| 225100000X Physical Therapist (Licence: ME PT6691) | |
| 225100000X Physical Therapist (Licence: GA PT009131) | |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2024-01-09 |