| NPI | 1669775359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 1589) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-15198) |
| 225100000X Physical Therapist (Licence: WA PT60396893) | |
| 225100000X Physical Therapist (Licence: OR 6422) | |
| 225100000X Physical Therapist (Licence: MI 5501017894) | |
| 225100000X Physical Therapist (Licence: AK PHYP2797) | |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2022-02-17 |