| NPI | 1629100755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501011300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008305) |
| 225100000X Physical Therapist (Licence: PA PT016891) | |
| 225100000X Physical Therapist (Licence: FL PT22737) | |
| 225100000X Physical Therapist (Licence: IN 05008568A) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2021-04-21 |