| NPI | 1891880746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305202647) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010151) |
| 225100000X Physical Therapist (Licence: NC P11637) | |
| 225100000X Physical Therapist (Licence: CA 37718) | |
| 225100000X Physical Therapist (Licence: SC 5735) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-01-13 |