| NPI | 1457605040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 3400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 60038) |
| Enumeration Date | 2012-11-03 |
| Last Update Date | 2025-07-28 |