| NPI | 1174972178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8128) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 009876) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-12-15 |