| NPI | 1568511186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 02280) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 3918) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2022-09-23 |