| NPI | 1275505398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60092) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028498) |
| 225100000X Physical Therapist (Licence: CA 33029) | |
| 225100000X Physical Therapist (Licence: MD 22209) | |
| 225100000X Physical Therapist (Licence: NV 1944) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2022-07-21 |