| NPI | 1518638154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP030562T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP030564T) |
| 225100000X Physical Therapist (Licence: MD 28603) | |
| 225100000X Physical Therapist (Licence: GA CP022859T) | |
| 225100000X Physical Therapist (Licence: VA CP030563T) | |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2024-10-21 |