| NPI | 1609964428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC p22412) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-11-13 |