| NPI | 1073771382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3339) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT25662) |
| 225100000X Physical Therapist (Licence: TX 1153680) | |
| 225100000X Physical Therapist (Licence: WA PT00010606) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |