| NPI | 1902112469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 38019) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11510) |
| 225100000X Physical Therapist (Licence: AZ 9316) | |
| 225100000X Physical Therapist (Licence: CA 43565) | |
| 225100000X Physical Therapist (Licence: TX 1217489) | |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2021-12-01 |