| NPI | 1457926263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-5187) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL17379) |
| 225100000X Physical Therapist (Licence: MD 28090) | |
| 225100000X Physical Therapist (Licence: OR 64000) | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-06-30 |