| NPI | 1770219610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 253084) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT6165) |
| 225100000X Physical Therapist (Licence: IA 109940) | |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2026-05-18 |