| NPI | 1184789141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18891) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 016309-1) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2024-07-01 |