| NPI | 1407292113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9628) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P18657) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2019-02-28 |