| NPI | 1790007490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14669) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020409) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2018-03-17 |