| NPI | 1972748150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10531) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 2968) |
| 225100000X Physical Therapist (Licence: FL 23890) | |
| 225100000X Physical Therapist (Licence: CO 10237) | |
| 225100000X Physical Therapist (Licence: NY 030148) | |
| 225100000X Physical Therapist (Licence: TX 1179040) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2015-12-18 |