| NPI | 1780026187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26223) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT24369) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2022-04-22 |