| NPI | 1285004861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1533) |
| Additional Taxonomies | 174400000X Specialist (Licence: SD 1533) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2019-05-23 |