| NPI | 1053714287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GU 118) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7505) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2018-04-05 |