| NPI | 1780718627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP030101T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1173443) |
| 225100000X Physical Therapist (Licence: VA CP031303T) | |
| 225100000X Physical Therapist (Licence: SC CP030102T) | |
| 225100000X Physical Therapist (Licence: TN CP031303T) | |
| 225100000X Physical Therapist (Licence: MS CP030292T) | |
| 225100000X Physical Therapist (Licence: GA CP026791T) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-11-21 |