| NPI | 1215038971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1718) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 11340) |
| 225100000X Physical Therapist (Licence: LA PT07024) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-06-29 |