| NPI | 1902572241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008339) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015477) |
| 225100000X Physical Therapist (Licence: AZ CP010821T) | |
| 225100000X Physical Therapist (Licence: WA CP013193T) | |
| 225100000X Physical Therapist (Licence: WA PT61330307) | |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2023-12-04 |