| NPI | 1396085163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 16425) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20401) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2016-11-04 |