| NPI | 1477131175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29515) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 32089) |
| 225100000X Physical Therapist (Licence: VA 2305215171) | |
| 225100000X Physical Therapist (Licence: AK 170412) | |
| 225100000X Physical Therapist (Licence: TX 1344115) | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-01-02 |