| NPI | 1477916088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10758) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 13326-24) |
| 225100000X Physical Therapist (Licence: LA 09237R) | |
| 225100000X Physical Therapist (Licence: NY 62 039028) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2021-07-02 |