| NPI | 1023280815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 1859) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5586) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2019-12-06 |