| NPI | 1023357340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15247) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6902) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2020-09-04 |