| NPI | 1316243611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH8928) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P13027) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2018-07-20 |