| NPI | 1699757179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 2218) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 2215) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2024-08-26 |