| NPI | 1841630480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-31723) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 85468622401) |
| 225100000X Physical Therapist (Licence: WA PT60717261) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2022-04-13 |