| NPI | 1659789790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT 3883) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO CP032230T) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2024-06-21 |