| NPI | 1124281589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2823) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004275) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2016-11-17 |