| NPI | 1538586847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC PT 7018) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P14561) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2024-04-29 |