| NPI | 1093994410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA PT07031) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 07031) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2019-02-11 |