| NPI | 1487053237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7735) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 15182) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2024-07-15 |