| NPI | 1811728397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA CP048348T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 307907) |
| 225100000X Physical Therapist (Licence: AZ CP033418T) | |
| 225100000X Physical Therapist (Licence: TX CP026939T) | |
| 225100000X Physical Therapist (Licence: NJ 40QA02192600) | |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2025-08-19 |