| NPI | 1679527261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 4461) |
| Additional Taxonomies | 174400000X Specialist (Licence: HI 2528) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-04-16 |