| NPI | 1073511440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20798) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH10279) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2023-09-06 |