| NPI | 1437109774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 3604) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 8268) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2021-03-12 |