| NPI | 1679865505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 4214) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 7485) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2016-10-20 |