| NPI | 1609287119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT4088) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 28787) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2021-09-16 |