| NPI | 1477790475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 4275) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P18516) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2021-06-14 |