| NPI | 1861830978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-3989) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-3305) |
| 225100000X Physical Therapist (Licence: OR 60221) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 225100000X Physical Therapist (Licence: KS 11-04639) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2020-05-27 |