| NPI | 1578236295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24404) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 12457) |
| 225100000X Physical Therapist (Licence: SC 12504) | |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: ND 2534) | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2025-12-02 |