| NPI | 1831523521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21111) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60401857) |
| 225100000X Physical Therapist (Licence: NY 041660-1) | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2022-11-02 |