| NPI | 1922727957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR CP032709T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 5190) |
| 225100000X Physical Therapist (Licence: AZ LPT-32788) | |
| 225100000X Physical Therapist (Licence: WY PT2351) | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2025-02-11 |