| NPI | 1588152664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 11319954-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018263) |
| 225100000X Physical Therapist (Licence: CA P17150) | |
| 225100000X Physical Therapist (Licence: OR 63920) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2020-11-19 |