| NPI | 1043680226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15950) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023260) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |