| NPI | 1467731448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 4321) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 26552) |
| 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-4321) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2022-11-04 |