| NPI | 1730135153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 2143) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VI 117) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-07-21 |