| NPI | 1497102370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT4726) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-30920) |
| 225100000X Physical Therapist (Licence: WA PT61325002) | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2023-12-14 |