| NPI | 1942558424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022178) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1406691) |
| 225100000X Physical Therapist (Licence: OH PT021631) | |
| 225100000X Physical Therapist (Licence: CA 308104) | |
| 225100000X Physical Therapist (Licence: MI 5501303921) | |
| 225100000X Physical Therapist (Licence: IL 070.029039) | |
| 225100000X Physical Therapist (Licence: NM PT-2025-0099) | |
| 225100000X Physical Therapist (Licence: MD 30378) | |
| 225100000X Physical Therapist (Licence: NY 054103) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2025-10-13 |