| NPI | 1558759142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 15228) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 022990) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |