| NPI | 1497208896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 5699) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291515) |
| 225100000X Physical Therapist (Licence: WA 61276796) | |
| 225100000X Physical Therapist (Licence: FL 35929) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2024-04-19 |