| NPI | 1578087904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 23640) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 61465747) |
| 225100000X Physical Therapist (Licence: UT 10368123-2401) | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2025-04-14 |