| NPI | 1821390378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2875) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 4567) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2024-03-02 |