| NPI | 1801101753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 2175) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1194093) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |