| NPI | 1750815577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15303) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210869) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |