| NPI | 1659937662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 296876) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2135) |
| 225100000X Physical Therapist (Licence: AZ LPT-30455) | |
| 225100000X Physical Therapist (Licence: TX CP000126T) | |
| 225100000X Physical Therapist (Licence: MN 11312) | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2023-02-13 |