| NPI | 1497892905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 11664R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT4071) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-09-05 |