| NPI | 1649895996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10255) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV CP059351T) |
| 225100000X Physical Therapist (Licence: DE CP058566T) | |
| 225100000X Physical Therapist (Licence: WA CP058563T) | |
| 225100000X Physical Therapist (Licence: AZ CP061173T) | |
| 225100000X Physical Therapist (Licence: TX CP059352T) | |
| 225100000X Physical Therapist (Licence: MD CP059350T) | |
| 225100000X Physical Therapist (Licence: NC CP058565T) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2026-08-28 |