| NPI | 1295751717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 772) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 15280) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-04-08 |