| NPI | 1366802506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014727) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26301) |
| 225100000X Physical Therapist (Licence: VA 2305210430) | |
| 225100000X Physical Therapist (Licence: DC PT872578) | |
| 225100000X Physical Therapist (Licence: NC 15992) | |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2021-04-13 |