| NPI | 1629735337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP008664T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P-CP017077T) |
| 225100000X Physical Therapist (Licence: TN CP025417T) | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2023-11-06 |