| NPI | 1700923869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT3406) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH3835) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2021-04-19 |