| NPI | 1033538251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP011398T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 60313) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-06-28 |