| NPI | 1538207766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 117023) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7611) |
| 225100000X Physical Therapist (Licence: DE J1-0002226) | |
| 225100000X Physical Therapist (Licence: HI 3077) | |
| 225100000X Physical Therapist (Licence: TX 1181131) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2023-06-27 |