| NPI | 1659790087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7307) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2010026424) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2018-06-21 |