| NPI | 1932558939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1896) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1284830) |
| 225100000X Physical Therapist (Licence: CA 293671) | |
| 225100000X Physical Therapist (Licence: IA 092526) | |
| 225100000X Physical Therapist (Licence: AL PTH9195) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2018-11-12 |