| NPI | 1255757597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18107) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC PT.7280 PT) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2018-07-30 |