| NPI | 1750584025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1095214) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 7403) |
| 225100000X Physical Therapist (Licence: AZ 2229) | |
| 225100000X Physical Therapist (Licence: IL 07000663) | |
| 225100000X Physical Therapist (Licence: MO 2002005829) | |
| 225100000X Physical Therapist (Licence: AL PTH4819) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2018-03-17 |