| NPI | 1811309388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 9047044-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-3482) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |