| NPI | 1215485446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 296421) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 17226) |
| 225100000X Physical Therapist (Licence: AZ 12595) | |
| 225100000X Physical Therapist (Licence: VA 2305210604) | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2019-09-10 |