| NPI | 1417335712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017440) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.022229) |
| 225100000X Physical Therapist (Licence: AZ 11527) | |
| 225100000X Physical Therapist (Licence: NC P23010) | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2024-12-09 |