| NPI | 1518408293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 10949) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 010949) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2018-05-21 |