| NPI | 1063905081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3601) |
| 225100000X Physical Therapist (Licence: AZ 013590) | |
| 225100000X Physical Therapist (Licence: WA 60848943) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |