| NPI | 1306258702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25237) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT3580) |
| 225100000X Physical Therapist (Licence: AK 114404) | |
| 225100000X Physical Therapist (Licence: VA 2305208790) | |
| 225100000X Physical Therapist (Licence: PA PT023611) | |
| 225100000X Physical Therapist (Licence: WV PT003352) | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2021-03-03 |