| NPI | 1215312533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3481) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0013349) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |