| NPI | 1336358308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD CP007526T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP002759T) |
| 225100000X Physical Therapist (Licence: NH CP000944T) | |
| 225100000X Physical Therapist (Licence: NC 4150) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-03-01 |