| NPI | 1194129965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19137) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7166) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2022-11-29 |