| NPI | 1467600148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22670) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2021-05-18 |