| NPI | 1578992160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8977) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9834) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2018-12-21 |