| NPI | 1174850606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10175) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206255) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2022-05-16 |