| NPI | 1417100611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1312) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1476) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2023-02-28 |