| NPI | 1558740100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2015015935) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2015027151) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2017-03-31 |