| NPI | 1134308299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PT-9768) |
| 225100000X Physical Therapist (Licence: GA PT-009156) | |
| 225100000X Physical Therapist (Licence: HI PT-2794) | |
| 225100000X Physical Therapist (Licence: OH PT-011899) | |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2019-10-04 |