| NPI | 1891075214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11242) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 26738) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2022-08-02 |