| NPI | 1538390356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 091981) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 08529R) |
| 225100000X Physical Therapist (Licence: PA PT020124) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2018-06-22 |