| NPI | 1073976817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 413) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 982) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |