| NPI | 1942277603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 4041) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC SC4041) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2022-10-28 |