| NPI | 1841655602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD PT25804) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25804) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2023-12-22 |