| NPI | 1114384872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT4657) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT31094) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2019-04-18 |