| NPI | 1255385464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 2189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP039748T) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2025-02-05 |