| NPI | 1265745988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2008024769) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26250) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2016-12-12 |