| NPI | 1740346691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 11146R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 4091) |
| 225100000X Physical Therapist (Licence: KS 1102462) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2022-04-12 |