| NPI | 1508190091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT3186) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 3186) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2023-05-18 |