| NPI | 1821491234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 15107) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P15107) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2024-10-01 |