| NPI | 1366000200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH9345) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT6660) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-11-08 |