| NPI | 1477903938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0013788) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 61494) |
| 225100000X Physical Therapist (Licence: WY 1820) | |
| 225100000X Physical Therapist (Licence: TX 1261308) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2020-09-10 |