| NPI | 1629382619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1949) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60161010) |
| 225100000X Physical Therapist (Licence: SD 1668) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2021-09-09 |