| NPI | 1871926303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 25869) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 40344) |
| 225100000X Physical Therapist (Licence: DC PT871458) | |
| 225100000X Physical Therapist (Licence: VA 2305207739) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2024-04-30 |