| NPI | 1376682575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2218) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33433) |
| 225100000X Physical Therapist (Licence: WA 60090280) | |
| 225100000X Physical Therapist (Licence: AZ 9730) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2016-08-20 |