| NPI | 1417381633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 011488) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10485) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2020-03-11 |