| NPI | 1942332226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33511) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204592) |
| 225100000X Physical Therapist (Licence: FL PT22482) | |
| 225100000X Physical Therapist (Licence: PA PT016387) | |
| 225100000X Physical Therapist (Licence: AZ 7455) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |