| NPI | 1922097567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16452) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT34994) |
| 225100000X Physical Therapist (Licence: VA 2305204217) | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2023-06-19 |