| NPI | 1013372283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS 7648) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: TX 1290020) |
| 2251X0800X Physical Therapist Orthopedic (Licence: CA 42831) | |
| 225100000X Physical Therapist (Licence: CA 42831) | |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2024-01-30 |