| NPI | 1881061406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT7716) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL 51916) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2024-05-22 |