| NPI | 1942823752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT5636) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2020013688) |
| 225200000X Physical Therapy Assistant (Licence: AR 4603) | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2025-05-29 |