| NPI | 1730662420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008550) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 872465) |
| 225100000X Physical Therapist (Licence: CO 0015918) | |
| 225100000X Physical Therapist (Licence: VA 2305212823) | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2022-07-20 |