| NPI | 1316121999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P11173) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI 02684) |
| 225100000X Physical Therapist (Licence: MA 19340) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2023-01-27 |