| NPI | 1841079399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020978) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-034023) |
| 225100000X Physical Therapist (Licence: FL PT43606) | |
| 225100000X Physical Therapist (Licence: NY 052210) | |
| 225100000X Physical Therapist (Licence: IL 070.027773) | |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2025-12-20 |