| NPI | 1609257518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 078633) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7780) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |