| NPI | 1912321134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9367) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 40216) |
| 225100000X Physical Therapist (Licence: MI 5501016009) | |
| 225100000X Physical Therapist (Licence: NC P15974) | |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2025-04-10 |