| NPI | 1295043180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 9191) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1198239) |
| 225100000X Physical Therapist (Licence: NC 13065) | |
| 225100000X Physical Therapist (Licence: FL 30899) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2018-08-03 |