| NPI | 1386192979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11583) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 16630) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2017-10-13 |