| NPI | 1548287998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P5933) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 5933) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2018-07-03 |