| NPI | 1982427340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS CP042992T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216778) |
| 225100000X Physical Therapist (Licence: TX CP035642T) | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-03-17 |