| NPI | 1164672481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02680) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60058448) |
| 225100000X Physical Therapist (Licence: OR 5705) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2023-11-27 |