| NPI | 1508012345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13614) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 3544) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2017-10-23 |