| NPI | 1467896779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 005137) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 1777) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |