| NPI | 1518357573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7938) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0012188) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-11-02 |