| NPI | 1407241896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60968) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1256530) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |