| NPI | 1760600068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT005200L) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-06-19 |