| NPI | 1841901428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 41127) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 61405305) |
| 225100000X Physical Therapist (Licence: TN 15220) | |
| 225100000X Physical Therapist (Licence: AZ LPT-32705) | |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2024-01-23 |