| NPI | 1346627791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT017613) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 10306) |
| 225100000X Physical Therapist (Licence: NC P15395) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |