| NPI | 1487254322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21875) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 32583) |
| 225100000X Physical Therapist (Licence: OR 64261) | |
| 225100000X Physical Therapist (Licence: MI 5501019793) | |
| 225100000X Physical Therapist (Licence: WA PT61251777) | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2023-06-14 |