| NPI | 1659970614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23755) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL27184) |
| 225100000X Physical Therapist (Licence: WA PT61554044) | |
| 225100000X Physical Therapist (Licence: PA PT028575) | |
| 225100000X Physical Therapist (Licence: SC 11229) | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2025-09-18 |