| NPI | 1457728545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27634) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 14.010646) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2019-09-23 |