| NPI | 1861826851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS 5134) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 27578) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2021-05-18 |