| NPI | 1801228465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 14420) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208772) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2014-07-07 |