| NPI | 1336577279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH7383) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10527) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2023-05-02 |