| NPI | 1952646309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0012618) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA CP010294T) |
| 225100000X Physical Therapist (Licence: CT 13436) | |
| 225100000X Physical Therapist (Licence: NY 0484444) | |
| 225100000X Physical Therapist (Licence: IL 070026447) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2022-03-31 |