| NPI | 1568668523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1223619) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT011541) |
| 225100000X Physical Therapist (Licence: IL 070-012893) | |
| 225100000X Physical Therapist (Licence: OR 3543) | |
| 225100000X Physical Therapist (Licence: CA 38313) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2013-01-27 |