| NPI | 1801925722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH12080) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT30193) |
| 174400000X Specialist (Licence: ID PT-1550) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2024-11-20 |