| NPI | 1801971023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH8575) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 10685) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2017-10-04 |