| NPI | 1194841833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT002701E) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME 974) |
| 225100000X Physical Therapist (Licence: FL PT33634) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-06-01 |