| NPI | 1154777878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13920) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26255) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |