| NPI | 1346709128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0015053) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 34729) |
| 225100000X Physical Therapist (Licence: VA 2305214971) | |
| 225100000X Physical Therapist (Licence: NC 17387) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-05-28 |