| NPI | 1457867491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND A2042) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0015336) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2018-06-21 |