| NPI | 1740477660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH9821) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 06489R) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2023-01-11 |