| NPI | 1891761748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH8003) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS 3042) |
| 225100000X Physical Therapist (Licence: AZ 7119) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2023-08-28 |