| NPI | 1417963976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8688) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT012520L) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-03-01 |