| NPI | 1760926620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012016A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60547468) |
| 225100000X Physical Therapist (Licence: OR 60920) | |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |