| NPI | 1316988827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11608) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 1997) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2016-08-22 |