| NPI | 1427488386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10210) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 28546) |
| 225100000X Physical Therapist (Licence: AK 2674) | |
| 225100000X Physical Therapist (Licence: CA 292717) | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2019-12-23 |