| NPI | 1538456686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1564) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3041) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2015-03-11 |