| NPI | 1548544257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9909) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23564) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2023-09-07 |