| NPI | 1558649335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH5706) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19788) |
| 225100000X Physical Therapist (Licence: SC PT8590) | |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2021-06-21 |