| NPI | 1447884515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 4882) |
| 225100000X Physical Therapist (Licence: OR 64758) | |
| 225100000X Physical Therapist (Licence: TX 1317942) | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2025-08-29 |