| NPI | 1891705984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21601) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH5191) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-02-20 |