| NPI | 1811273402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-7384) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5469) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2022-10-10 |