| NPI | 1316176100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 2872) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY PT-1284) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2015-09-29 |