| NPI | 1528307733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 005099) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7577) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2021-03-10 |