| NPI | 1477901569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 09292R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60539792) |
| 225100000X Physical Therapist (Licence: HI PT3850) | |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2019-09-13 |