| NPI | 1619065364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8457) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 010050) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2017-11-06 |