| NPI | 1922776269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 179847) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0018325) |
| 225100000X Physical Therapist (Licence: WI 17026-24) | |
| 225100000X Physical Therapist (Licence: ME PT7142) | |
| 225100000X Physical Therapist (Licence: AZ 31986) | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2025-06-20 |