| NPI | 1952653230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 022921) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 6606) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2021-11-12 |