| NPI | 1669840732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25658) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT024665) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2022-07-21 |