| NPI | 1962013987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28957) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215436) |
| 225100000X Physical Therapist (Licence: CO 0020453) | |
| 225100000X Physical Therapist (Licence: SC 11019) | |
| 225100000X Physical Therapist (Licence: PA PT028713) | |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2025-05-15 |