| NPI | 1073994562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1853) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1972) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |