| NPI | 1518524495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211406) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP029542T) |
| 225100000X Physical Therapist (Licence: GA CP032187T) | |
| 225100000X Physical Therapist (Licence: MI 5501019443) | |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2024-09-25 |