| NPI | 1841801701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP036678T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP025724T) |
| 225100000X Physical Therapist (Licence: SC 10114) | |
| 225100000X Physical Therapist (Licence: LA 10749R) | |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2024-11-07 |