| NPI | 1518641042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP036767T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P22174) |
| 225100000X Physical Therapist (Licence: AZ CP025331T) | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-11-27 |