| NPI | 1225405913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15902) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209686) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |