| NPI | 1154588424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5345) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 5345) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2018-06-06 |