| NPI | 1215490305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT61333231) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT5460) |
| 225100000X Physical Therapist (Licence: OR 62947) | |
| 225100000X Physical Therapist (Licence: TX 1293179) | |
| 225100000X Physical Therapist (Licence: NH CP006329T) | |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2022-08-06 |