| NPI | 1932623311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26583) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT031167) |
| 225100000X Physical Therapist (Licence: CA 304115) | |
| 225100000X Physical Therapist (Licence: VA 2305211690) | |
| 225100000X Physical Therapist (Licence: NV 5088) | |
| 225100000X Physical Therapist (Licence: AK 211758) | |
| 225100000X Physical Therapist (Licence: NY 050518-01) | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2023-08-02 |