| NPI | 1093003279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2342) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1638) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2019-06-18 |