| NPI | 1639801731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP036860T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP029799T) |
| 225100000X Physical Therapist (Licence: OH PT019879) | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2024-11-20 |