| NPI | 1689129975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215420) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID 4665) |
| 225100000X Physical Therapist (Licence: NC P100316E) | |
| 225100000X Physical Therapist (Licence: NC P-CP001059T) | |
| 225100000X Physical Therapist (Licence: SD 1943) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2026-02-04 |