| NPI | 1518905769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8515) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P10423) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2021-09-28 |