| NPI | 1508349846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61196712) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9019) |
| 225100000X Physical Therapist (Licence: TN 15250) | |
| 225100000X Physical Therapist (Licence: NE 4312) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2024-10-24 |