| NPI | 1689941445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3044) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 77928) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2015-12-29 |