| NPI | 1194152363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3328) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 8004) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2016-05-19 |