| NPI | 1861707705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1371671) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT3757) |
| 225100000X Physical Therapist (Licence: AL PTH6009) | |
| 225100000X Physical Therapist (Licence: CO PTL-10935) | |
| 225100000X Physical Therapist (Licence: NC 12806) | |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2024-10-22 |