| NPI | 1013384544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 010651) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2019-02-10 |