| NPI | 1104078757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16349) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9407) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2017-07-14 |