| NPI | 1982919833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 11288) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT36684) |
| 225100000X Physical Therapist (Licence: DC PT870607) | |
| 225100000X Physical Therapist (Licence: NC PT12594) | |
| 225100000X Physical Therapist (Licence: OR 6757) | |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2016-09-15 |