| NPI | 1326448598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 15175) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 90515632401) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2019-02-06 |