| NPI | 1588126163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24874) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040.0134001) |
| 225100000X Physical Therapist (Licence: NH 4382) | |
| 225100000X Physical Therapist (Licence: NM PT22070) | |
| 225100000X Physical Therapist (Licence: ID 5673) | |
| 225100000X Physical Therapist (Licence: NY 049565) | |
| 225100000X Physical Therapist (Licence: MN 12933) | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2023-02-06 |