| NPI | 1689327454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-7584) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 054511) |
| 225100000X Physical Therapist (Licence: OH PT021955) | |
| 225100000X Physical Therapist (Licence: TX 1406995) | |
| 225100000X Physical Therapist (Licence: PA PT033427) | |
| 225100000X Physical Therapist (Licence: MI 5501304036) | |
| 225100000X Physical Therapist (Licence: CA 308733) | |
| 225100000X Physical Therapist (Licence: MA PTL88864) | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2025-09-04 |