| NPI | 1497082671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 42289) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36023) |
| 225100000X Physical Therapist (Licence: CO 11191) | |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2024-09-03 |