| NPI | 1609216910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3208) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 005244) |
| 225100000X Physical Therapist (Licence: ID 3216) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |