| NPI | 1750661617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT5471) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006432) |
| 225100000X Physical Therapist (Licence: TN 9051) | |
| 225100000X Physical Therapist (Licence: MO 2023047495) | |
| 225100000X Physical Therapist (Licence: TX CP043459T) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2025-04-11 |