| NPI | 1740944925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1374080) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-32248) |
| 225100000X Physical Therapist (Licence: TN 14700) | |
| 225100000X Physical Therapist (Licence: NC P20807) | |
| 225100000X Physical Therapist (Licence: NJ 40QA02047300) | |
| 225100000X Physical Therapist (Licence: MA 26167) | |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2023-02-22 |