| NPI | 1144488354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 2134PT) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID 7460) |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2022-08-18 |