| NPI | 1073013215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT4635) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH8789) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2022-06-23 |