| NPI | 1396415394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1335062) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL28244) |
| 225100000X Physical Therapist (Licence: NV 6568) | |
| 225100000X Physical Therapist (Licence: CA 306832) | |
| 225100000X Physical Therapist (Licence: ME PT7198) | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2025-07-27 |