| NPI | 1417000761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11256) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC8759) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2022-10-11 |