| NPI | 1841612421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292507) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070020352) |
| 225100000X Physical Therapist (Licence: AK 2705) | |
| 225100000X Physical Therapist (Licence: MI 5501016449) | |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2018-03-17 |