| NPI | 1699227868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9284) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 11186) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2018-10-11 |