| NPI | 1700086998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: IN 05009329A) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: FL PT28628) |
| 2251S0007X Physical Therapist, Sports (Licence: TX 1169908) | |
| 2251S0007X Physical Therapist, Sports (Licence: AZ 10586) | |
| 2251S0007X Physical Therapist, Sports (Licence: CA PT40911) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2014-04-21 |