| NPI | 1427237692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23080) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018937) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2020-11-16 |