| NPI | 1801018783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH7183) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH4289) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-02-18 |