| NPI | 1962157412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR CP042170T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1357271) |
| 225100000X Physical Therapist (Licence: SC CP037101T) | |
| 225100000X Physical Therapist (Licence: AZ CP046635T) | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2025-07-09 |