| NPI | 1063889947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9780) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2015028681) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2019-07-22 |