| NPI | 1710262787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 020347) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2009038481) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2016-03-22 |