| NPI | 1801496872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP013190T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01965000) |
| 225100000X Physical Therapist (Licence: TN 13821) | |
| 225100000X Physical Therapist (Licence: GA PT015702) | |
| 225100000X Physical Therapist (Licence: NC P20979) | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2022-07-19 |