| NPI | 1386708444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT509) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 14525) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2024-06-24 |