| NPI | 1396059911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004454) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2001002810) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2021-02-23 |