| NPI | 1225439680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 3818) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 10126R) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2018-11-27 |