| NPI | 1578220422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014456) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: FL PT38999) | |
| 225100000X Physical Therapist (Licence: TX CP018002T) | |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2023-05-25 |