| NPI | 1528184231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC PT-9208) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT006727L) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2018-07-30 |