| NPI | 1356066328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35310) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013652A) |
| 222Q00000X Developmental Therapist | |
| 225100000X Physical Therapist (Licence: CA 303437) | |
| 225100000X Physical Therapist (Licence: RI PT03501) | |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2024-06-28 |