| NPI | 1700359486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14632-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 34428) |
| 225100000X Physical Therapist (Licence: CO PTL.0015751) | |
| 225100000X Physical Therapist (Licence: AL PTH8986) | |
| 225100000X Physical Therapist (Licence: PA PT026945) | |
| Enumeration Date | 2019-01-06 |
| Last Update Date | 2024-08-26 |