| NPI | 1154453876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD S01327) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: MD 01327) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2024-12-05 |