| NPI | 1457790040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 8527) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1744) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2023-01-03 |