| NPI | 1730656174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD PT27386) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027326) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2019-05-06 |