| NPI | 1265952352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27333) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3521) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2019-03-07 |