| NPI | 1326107087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 64358) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP022096T) |
| 225100000X Physical Therapist (Licence: CA 32269) | |
| 225100000X Physical Therapist (Licence: NC CP022075T) | |
| 225100000X Physical Therapist (Licence: TX CP014326T) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2023-07-13 |