| NPI | 1730299512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM NM#3299) |
| 225100000X Physical Therapist (Licence: NM 3299) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-08-02 |