| NPI | 1639570534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 4533) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 3921) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |