| NPI | 1407251036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL 7287) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 08262) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |