| NPI | 1134623440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL 54483) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 5077) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2019-11-06 |