| NPI | 1275953721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6899) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0012005) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2021-10-04 |