| NPI | 1013128412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P2269) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 2269) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-01-08 |