| NPI | 1083062210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P11061) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 11061) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2024-11-20 |