| NPI | 1932141314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 007502) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501015825) |
| 225100000X Physical Therapist (Licence: CA 35255) | |
| 225100000X Physical Therapist (Licence: CO 8295) | |
| 225100000X Physical Therapist (Licence: FL 37027) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-07-23 |