| NPI | 1538472436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9603) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 25689) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2019-06-14 |