| NPI | 1689961146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 4745) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004745) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2015-03-10 |