| NPI | 1831346824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15246) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3358) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2015-02-14 |