| NPI | 1598828782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 17404) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT016521) |
| 225100000X Physical Therapist (Licence: WA PT00010067) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2022-05-17 |