| NPI | 1790423689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016268) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT6022) |
| 225100000X Physical Therapist (Licence: MO 2021048538) | |
| 225100000X Physical Therapist (Licence: IL 070026359) | |
| 225100000X Physical Therapist (Licence: NY 044156) | |
| Enumeration Date | 2022-05-22 |
| Last Update Date | 2024-06-21 |