| NPI | 1609281476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18703) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 60591) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2019-08-07 |