| NPI | 1699024281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5421) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P22098) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-02-20 |