| NPI | 1588930416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22855) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 7134) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2024-02-21 |