| NPI | 1487816401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 008121) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 16302) |
| 225100000X Physical Therapist (Licence: MN 11443) | |
| 225100000X Physical Therapist (Licence: WI 15697-024) | |
| 225100000X Physical Therapist (Licence: SD 2280) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2022-03-30 |