| NPI | 1609107978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004515) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3143) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2023-07-05 |