| NPI | 1629426580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209969) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT024928) |
| 225100000X Physical Therapist (Licence: TX 1258267) | |
| 225100000X Physical Therapist (Licence: CA 43592) | |
| 225100000X Physical Therapist (Licence: NM 4644) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2022-07-08 |