| NPI | 1851566384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT2726) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9773) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2021-10-21 |