| NPI | 1952774861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 16099) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 11155) |
| 225100000X Physical Therapist (Licence: OR 62325) | |
| 225100000X Physical Therapist (Licence: AK 120971) | |
| 225100000X Physical Therapist (Licence: WA 60934328) | |
| 225100000X Physical Therapist (Licence: SC 8794) | |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2023-04-27 |