| NPI | 1609036763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60088130) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 7034932-2401) |
| 225100000X Physical Therapist (Licence: CA 39524) | |
| 225100000X Physical Therapist (Licence: NY 029275) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2023-10-26 |