| NPI | 1689869174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT4722) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH5127) |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2022-09-15 |