| NPI | 1003224544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 005104) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 3603) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |