| NPI | 1245496330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-016510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205934) |
| 225100000X Physical Therapist (Licence: HI PT-3090) | |
| 225100000X Physical Therapist (Licence: CA 35402) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2017-07-13 |