| NPI | 1427570688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17654) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 13862-24) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2018-05-10 |