| NPI | 1518946052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209185) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH CP039226T) |
| 225100000X Physical Therapist (Licence: DC CP039213T) | |
| 225100000X Physical Therapist (Licence: CT 003650) | |
| 2251S0007X Physical Therapist, Sports (Licence: NC 4631) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: DC AT23000175) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126002303) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2025-08-22 |