| NPI | 1134347081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 007674) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17513) |
| 225100000X Physical Therapist (Licence: OH 011785) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-01-26 |