| NPI | 1740553536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036810-1) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: WA PT 60231278) | |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2019-02-07 |