| NPI | 1497268841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 38952) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1298731) |
| 225100000X Physical Therapist (Licence: WA PT61243773) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2023-04-11 |