| NPI | 1457766990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24577) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028154) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2023-10-31 |