| NPI | 1801239652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 4068) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 684) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2015-12-31 |