| NPI | 1295006823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13519) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7993) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2021-10-05 |