| NPI | 1568616464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18333) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT33051) |
| 225100000X Physical Therapist (Licence: HI 2757) | |
| 225100000X Physical Therapist (Licence: PA PT015950) | |
| 225100000X Physical Therapist (Licence: NC 10513) | |
| 225100000X Physical Therapist (Licence: TX 1178633) | |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |