| NPI | 1700148913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5494) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 14523) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |