| NPI | 1114024114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 1782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 02809) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-01-10 |