| NPI | 1265741730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 3836) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 9092) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2020-06-12 |