| NPI | 1083015739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41411) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011327) |
| 225100000X Physical Therapist (Licence: HI PT 3673) | |
| 225100000X Physical Therapist (Licence: IL 070.020324) | |
| 225100000X Physical Therapist (Licence: NC P11350) | |
| 225100000X Physical Therapist (Licence: VA 2305208245) | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |