| NPI | 1649697939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 03433R) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: LA 03433R) |
| 2251S0007X Physical Therapist, Sports (Licence: LA 03433R) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: LA 03433R) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: LA 03433R) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |