| NPI | 1750415386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 023012) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10940) |
| 225100000X Physical Therapist (Licence: PA PT017428) | |
| 225100000X Physical Therapist (Licence: MO 20210006571) | |
| 225100000X Physical Therapist (Licence: UT 12991489-2401) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-10-26 |