| NPI | 1699071324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14130) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6050) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2018-12-13 |