| NPI | 1174987358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 4447) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21671) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2020-11-13 |