| NPI | 1568618155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8479) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P11656) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2014-03-19 |