| NPI | 1174892954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 415300056) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004870) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2022-06-09 |