| NPI | 1447505631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1641) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004992) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2014-01-29 |