| NPI | 1992039770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH5807) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 8499) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2023-02-01 |