| NPI | 1104184696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 27267) |
| 225100000X Physical Therapist (Licence: MD 24773) | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2023-11-27 |