| NPI | 1013324201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3095) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 073812) |
| 225100000X Physical Therapist (Licence: VA 2305208662t) | |
| 225100000X Physical Therapist (Licence: MS PT5629) | |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2015-04-23 |