| NPI | 1477289668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP059218T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT018231) |
| 225100000X Physical Therapist (Licence: DC PT210002165) | |
| 225100000X Physical Therapist (Licence: VA 2305215085) | |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2026-08-16 |