| NPI | 1407170202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19875) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC PT10543) |
| 225100000X Physical Therapist (Licence: FL PT25315) | |
| 225100000X Physical Therapist (Licence: HI PT-4667) | |
| 225100000X Physical Therapist (Licence: VA 2305208031) | |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2021-10-13 |