| NPI | 1144690470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11292) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0013380) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2018-07-26 |