| NPI | 1053755835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 01953) |
| Additional Taxonomies | 226300000X Kinesiotherapist (Licence: IA 01953) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-09-23 |