| NPI | 1336622968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212670) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043495) |
| 225100000X Physical Therapist (Licence: MA 24208) | |
| 225100000X Physical Therapist (Licence: PA PT027688) | |
| 225100000X Physical Therapist (Licence: GA PT013973) | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2020-09-15 |