| NPI | 1720373707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2012013501) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT3359) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2018-11-30 |