| NPI | 1750869772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-5170) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305212128) |
| 225100000X Physical Therapist (Licence: CA 292980) | |
| 225100000X Physical Therapist (Licence: FL PT32272) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2022-01-24 |