| NPI | 1386089209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH7023) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 08322) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2022-07-21 |