| NPI | 1306164470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 3248) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 12610) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2020-12-01 |