| NPI | 1184046625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 011340) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60311223) |
| 225100000X Physical Therapist (Licence: MA 15705) | |
| 225100000X Physical Therapist (Licence: MD 21817) | |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2020-03-08 |