| NPI | 1861048001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT027162) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 296458) |
| 225100000X Physical Therapist (Licence: NV 3894) | |
| 225100000X Physical Therapist (Licence: AZ LPT-30314) | |
| 225100000X Physical Therapist (Licence: FL PT35161) | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-09-18 |