| NPI | 1275810988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH8350) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4052) |
| 225100000X Physical Therapist (Licence: CO 11334) | |
| 225100000X Physical Therapist (Licence: OH 011360) | |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2023-04-21 |