| NPI | 1164647467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 13185) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7461) |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225100000X Physical Therapist (Licence: CA 40193) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2013-08-22 |