| NPI | 1578285425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2465) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-32661) |
| 225100000X Physical Therapist (Licence: MA PTL26721) | |
| 225100000X Physical Therapist (Licence: MN 12688) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2023-05-17 |