| NPI | 1568779841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 5440) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC PT5440) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2019-07-09 |