| NPI | 1568750123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1189831) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 2271) |
| 225100000X Physical Therapist (Licence: FL PT25051) | |
| 225100000X Physical Therapist (Licence: MO 2009019568) | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2012-01-25 |