| NPI | 1427304641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24978) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT022103) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2014-10-17 |