| NPI | 1386009421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT5877) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH7949) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2023-04-13 |