| NPI | 1528522372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30103) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT40008) |
| 225100000X Physical Therapist (Licence: VA 2305216344) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2024-09-03 |