| NPI | 1346467040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21718) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33539) |
| 225100000X Physical Therapist (Licence: HI 2725) | |
| 225100000X Physical Therapist (Licence: MA 16817) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2021-09-13 |