| NPI | 1922785062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 11888) |
| 225100000X Physical Therapist (Licence: VA CP030583T) | |
| 225100000X Physical Therapist (Licence: AL PTH11722) | |
| 225100000X Physical Therapist (Licence: NC CP030203T) | |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2024-10-23 |