| NPI | 1033662853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3575) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 61640) |
| 225100000X Physical Therapist (Licence: IA 083314) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-29 |