| NPI | 1043660095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 083019) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 1904) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |