| NPI | 1154843886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 9235) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CT 009235) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |