| NPI | 1235510744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1825) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3452) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-10-23 |