| NPI | 1013066414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P2215) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 2215) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2017-02-09 |