| NPI | 1760105845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO CP017326T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1107197) |
| 225100000X Physical Therapist (Licence: VA CP011884T) | |
| 225100000X Physical Therapist (Licence: MD CP015406T) | |
| 225100000X Physical Therapist (Licence: NC P21339) | |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2023-03-24 |