| NPI | 1457183600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT42107) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305217247) |
| 225100000X Physical Therapist (Licence: GA PT017561) | |
| 225100000X Physical Therapist (Licence: NH 6021) | |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2025-12-03 |