| NPI | 1841483831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8516) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018844) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2022-02-16 |