| NPI | 1942807193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 299219) |
| 225100000X Physical Therapist (Licence: WI 16239-24) | |
| 225100000X Physical Therapist (Licence: TX 1381390) | |
| 225100000X Physical Therapist (Licence: NV 5188) | |
| 225100000X Physical Therapist (Licence: CO CP048040T) | |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2025-08-11 |