| NPI | 1033459185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19453) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002950) |
| 225100000X Physical Therapist (Licence: PA PT022617) | |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2021-06-11 |