| NPI | 1376159434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10599) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP048221T) |
| 225100000X Physical Therapist (Licence: GA CP036675T) | |
| 225100000X Physical Therapist (Licence: NC CP032120T) | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2025-07-29 |