| NPI | 1346653060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 074011) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-04789) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-07-30 |