| NPI | 1497871180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10284) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NC L-306928) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-02-14 |