| NPI | 1497086094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7818) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008413) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2022-09-15 |