| NPI | 1285121533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC PT.8998) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211783) |
| Enumeration Date | 2018-04-21 |
| Last Update Date | 2018-04-21 |