| NPI | 1356855464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60839865) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0015250) |
| 225100000X Physical Therapist (Licence: IA 093664) | |
| 225100000X Physical Therapist (Licence: SC PT.9566) | |
| 225100000X Physical Therapist (Licence: ME PT5353) | |
| 225100000X Physical Therapist (Licence: WY PT-1936) | |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2021-03-07 |