| NPI | 1427178656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 1584) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 1624) |
| 225100000X Physical Therapist (Licence: MT 985) | |
| 225100000X Physical Therapist (Licence: ND 1010) | |
| 225100000X Physical Therapist (Licence: WI 4985-24) | |
| 225100000X Physical Therapist (Licence: GA 5080) | |
| 225100000X Physical Therapist (Licence: NC P7433) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |