| NPI | 1326093279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 2472) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305203594) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2019-03-07 |