| NPI | 1780923706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60743) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035364-1) |
| 225100000X Physical Therapist (Licence: CA 42461) | |
| 225100000X Physical Therapist (Licence: TX 1257210) | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2015-12-24 |