| NPI | 1235487398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1934) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3138) |
| 225100000X Physical Therapist (Licence: IA 084724) | |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2016-11-16 |