| NPI | 1336403666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7066) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004797) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2016-03-21 |