| NPI | 1578835260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9224) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 14147) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2016-05-20 |