| NPI | 1477985158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7158) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P14378) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2015-05-06 |