| NPI | 1285968743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH9293) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4931) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2021-07-12 |