| NPI | 1356453146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0016875) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501016147) |
| 225100000X Physical Therapist (Licence: WA PT10024) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-26 |