| NPI | 1841664430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60632852) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60632852) |
| 225100000X Physical Therapist (Licence: NY 62035169) | |
| 225100000X Physical Therapist (Licence: IL 070.026315) | |
| 225100000X Physical Therapist (Licence: ID PT-7915) | |
| 225100000X Physical Therapist (Licence: HI PT-5348) | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2022-04-21 |