| NPI | 1619251311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 13405) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P13405) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2022-09-09 |