| NPI | 1336506112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17187) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023695) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2019-07-16 |