| NPI | 1568686608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20361) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 108819) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2022-01-26 |