| NPI | 1417112160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2696) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 4310) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2015-12-12 |