| NPI | 1326459363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 5564) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 1241398) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2023-02-06 |