| NPI | 1194995340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10939) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VI 137) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2021-09-29 |