| NPI | 1215373394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6968) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2013004033) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2024-10-02 |