| NPI | 1144321381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7833) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH5398) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2016-12-27 |