| NPI | 1053391896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 6040) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-005660) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2022-07-21 |