| NPI | 1285604439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28127) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7737) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2021-05-21 |