| NPI | 1356782189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2967) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036803-1) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2014-07-14 |