| NPI | 1235511312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 16376) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 30454) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2016-07-21 |