| NPI | 1407548787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61433081) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016291) |
| 225100000X Physical Therapist (Licence: NJ 40qa02126100) | |
| 225100000X Physical Therapist (Licence: TX 1371564) | |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2024-01-09 |