| NPI | 1225390222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC PT7722) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT27312) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2015-04-28 |