| NPI | 1700063021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3899) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT019023) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2015-09-18 |