| NPI | 1366729436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2022006719) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE CP008229T) |
| 225100000X Physical Therapist (Licence: MD 23863) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2022-02-25 |