| NPI | 1356838148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1278447) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH CP000116T) |
| 225100000X Physical Therapist (Licence: OH PT017559) | |
| 225100000X Physical Therapist (Licence: NV 3649) | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2019-02-05 |