| NPI | 1487178513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215618) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-30376) |
| 225100000X Physical Therapist (Licence: CA 296571) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2023-04-26 |