| NPI | 1811332596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14324) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7097) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2016-12-12 |