| NPI | 1487087888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2000167620) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2016-11-02 |