| NPI | 1639529894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8355) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS 5996) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2018-01-05 |