| NPI | 1710316443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 005075) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME 3224) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2023-10-08 |