| NPI | 1093066763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004996) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10349) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2020-04-09 |