| NPI | 1124494596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8399) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21949) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2024-10-07 |