| NPI | 1538269196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28416) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 1638) |
| 225100000X Physical Therapist (Licence: VA 2305210429) | |
| 225100000X Physical Therapist (Licence: CA PT36017) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2023-08-14 |