| NPI | 1124575584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH8829) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 01518) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2018-06-18 |