| NPI | 1003152406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8135) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 08296) |
| 225100000X Physical Therapist (Licence: AL PTH6808) | |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2016-05-23 |