| NPI | 1710092002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11222) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 4821) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-07-22 |