| NPI | 1831796259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216689) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0017259) |
| 225100000X Physical Therapist (Licence: DC PT210002446) | |
| 225100000X Physical Therapist (Licence: FL PT38623) | |
| 225100000X Physical Therapist (Licence: MA PTL27155) | |
| 225100000X Physical Therapist (Licence: CA 302238) | |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2026-01-07 |