| NPI | 1245698950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17511) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8044) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2017-11-01 |