| NPI | 1851475693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20778) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 4779) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-01-10 |