| NPI | 1063813186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 17241) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 871553) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2022-07-21 |