| NPI | 1396125126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 15676) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P15676) |
| Enumeration Date | 2015-06-07 |
| Last Update Date | 2021-09-16 |