| NPI | 1477337871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT-2024-0079) |
| 225100000X Physical Therapist (Licence: TX CP025830T) | |
| 225100000X Physical Therapist (Licence: NJ 40QA02187900) | |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2024-06-21 |