| NPI | 1124221254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070014113) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 40093) |
| 225100000X Physical Therapist (Licence: TX 1378459) | |
| 225100000X Physical Therapist (Licence: NY 050586) | |
| 225100000X Physical Therapist (Licence: FL 22185) | |
| 225100000X Physical Therapist (Licence: MS PT6738) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2023-10-17 |