| NPI | 1689947988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P2412) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5640) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2019-04-30 |