| NPI | 1568418390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19847) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0012994) |
| 225100000X Physical Therapist (Licence: NY 017303-1) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-09-11 |