| NPI | 1457679904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 12430) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT32490) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2015-01-14 |