| NPI | 1285689497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19573) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: AZ 6993) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-11-13 |