| NPI | 1124173778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 084446) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17557) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-09-19 |