| NPI | 1639425820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1225410) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 39228) |
| 225100000X Physical Therapist (Licence: NJ 40QA02096200) | |
| 225100000X Physical Therapist (Licence: NY 048661) | |
| 225100000X Physical Therapist (Licence: OH PT019414) | |
| 225100000X Physical Therapist (Licence: DC PT200001367) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2023-04-10 |