| NPI | 1376739094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2148) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018659) |
| Enumeration Date | 2007-09-16 |
| Last Update Date | 2016-08-24 |