| NPI | 1578805255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 3081555) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 38853) |
| 225100000X Physical Therapist (Licence: TX 1227570) | |
| 225100000X Physical Therapist (Licence: NM 4932) | |
| 225100000X Physical Therapist (Licence: KY 006200) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2025-07-24 |