| NPI | 1881617579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT2025) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH - 4368) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-05-13 |