| NPI | 1366092272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0016628) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT7383) |
| 225100000X Physical Therapist (Licence: AK 196622) | |
| 225100000X Physical Therapist (Licence: MT 21536) | |
| 225100000X Physical Therapist (Licence: VI 318) | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2026-04-02 |