| NPI | 1649980723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1383628) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT03951) |
| 225100000X Physical Therapist (Licence: WA PT61519212) | |
| 225100000X Physical Therapist (Licence: NC CP049180T) | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2026-03-02 |