| NPI | 1013557883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 295158) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3846) |
| 225100000X Physical Therapist (Licence: AZ 30452) | |
| 225100000X Physical Therapist (Licence: HI 4803) | |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |