| NPI | 1366214165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216986) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CO 19923) | |
| 225100000X Physical Therapist (Licence: NC P23061) | |
| 225100000X Physical Therapist (Licence: SC 12074) | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2025-04-11 |