| NPI | 1770734592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19103) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH4970) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2019-10-01 |