| NPI | 1578043964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24041) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305212666) |
| 225100000X Physical Therapist (Licence: SC 9695) | |
| 225100000X Physical Therapist (Licence: TX 1310450) | |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2021-10-13 |