| NPI | 1689006751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0013777) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P14368) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2017-11-09 |