| NPI | 1588648463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17127) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 11220) |
| 225100000X Physical Therapist (Licence: FL P15576) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2025-01-28 |