| NPI | 1700334463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1363029) |
| 225100000X Physical Therapist (Licence: PA PT032180) | |
| 225100000X Physical Therapist (Licence: CA 302239) | |
| 225100000X Physical Therapist (Licence: VA 2305213851) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2024-04-11 |