| NPI | 1295115244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23279) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 61019) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |