| NPI | 1487888715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT5103) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9951) |
| 225100000X Physical Therapist (Licence: AK 136520) | |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2021-01-28 |