| NPI | 1093852220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1794) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 2036PT) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-05-10 |