| NPI | 1679020200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT291271) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1216883) |
| 225100000X Physical Therapist (Licence: FL PT 25615) | |
| 225100000X Physical Therapist (Licence: CO PTL.0013458) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |