| NPI | 1992495758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1367831) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL88767) |
| 225100000X Physical Therapist (Licence: VA CP034872T) | |
| 225100000X Physical Therapist (Licence: CO CP052356T) | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2026-04-28 |