| NPI | 1366007502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19612) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011142) |
| 225100000X Physical Therapist (Licence: VA 2305213168) | |
| 225100000X Physical Therapist (Licence: DC PT872367) | |
| 225100000X Physical Therapist (Licence: MD 27850) | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2023-03-27 |