| NPI | 1639235674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8669) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P21092) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2023-02-03 |