| NPI | 1568830073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10958) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 9373) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2021-11-17 |