| NPI | 1386366797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 305388) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP017388T) |
| 225100000X Physical Therapist (Licence: SC 11561) | |
| 225100000X Physical Therapist (Licence: WI 16088-24) | |
| 225100000X Physical Therapist (Licence: CO CP018797T) | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2024-02-15 |