| NPI | 1598811879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 1996) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 28861) |
| 225100000X Physical Therapist (Licence: HI PT2609) | |
| 225100000X Physical Therapist (Licence: NY 62 026911) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |