| NPI | 1366096182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH CP004973T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013310) |
| 225100000X Physical Therapist (Licence: IL 070023996) | |
| 225100000X Physical Therapist (Licence: MA 23012) | |
| 225100000X Physical Therapist (Licence: NC P17539) | |
| 225100000X Physical Therapist (Licence: VA 2305211595) | |
| 225100000X Physical Therapist (Licence: AZ LPT-30562) | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2021-05-13 |