| NPI | 1518599489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61684154) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01907300) |
| 225100000X Physical Therapist (Licence: KY 007918) | |
| 225100000X Physical Therapist (Licence: VA CP024637T) | |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2025-04-15 |