| NPI | 1689896334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19823) |
| 225100000X Physical Therapist (Licence: SC 10331) | |
| 225100000X Physical Therapist (Licence: MO 2000145880) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-06-22 |