| NPI | 1629261128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019950) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL-9736) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2023-05-19 |