| NPI | 1386256543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23013) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP035261T) |
| 225100000X Physical Therapist (Licence: FL PT36121) | |
| 225100000X Physical Therapist (Licence: TN CP037185T) | |
| 225100000X Physical Therapist (Licence: NH CP035282T) | |
| 225100000X Physical Therapist (Licence: NJ CP035281T) | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2025-04-07 |