| NPI | 1932651338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017229) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT033243) |
| 225100000X Physical Therapist (Licence: OH PT021644) | |
| 225100000X Physical Therapist (Licence: NY 054152-01) | |
| 225100000X Physical Therapist (Licence: NM PT-2025-0124) | |
| 225100000X Physical Therapist (Licence: CA 308190) | |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2025-06-18 |