| NPI | 1508189564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P7500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10001481) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2020-01-16 |