| NPI | 1538673504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024309) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60631750) |
| 225100000X Physical Therapist (Licence: OR 61597) | |
| 225100000X Physical Therapist (Licence: AZ 11685) | |
| 225100000X Physical Therapist (Licence: CA 291356) | |
| 225100000X Physical Therapist (Licence: NM 4658) | |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2018-03-17 |