| NPI | 1669787107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 12733) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 11423) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2024-02-25 |