| NPI | 1265847693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16243) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208792) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2016-08-05 |