| NPI | 1548596133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10912) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 10912) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2024-02-20 |