| NPI | 1023565637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3384) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 082301) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |