| NPI | 1508424789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26574) |
| Additional Taxonomies | 2251C2600X Physical Therapist Cardiopulmonary (Licence: MD 26754) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2022-05-10 |