| NPI | 1396293619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292026) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL 0013581) |
| 225100000X Physical Therapist (Licence: TX 1266381) | |
| 225100000X Physical Therapist (Licence: IL 070021878) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-12-13 |