| NPI | 1043760499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 09862R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 12599) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2018-12-20 |