| NPI | 1639317704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 10520R) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: OK 4653) | |
| 225100000X Physical Therapist (Licence: GA PT009525) | |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2023-12-18 |