| NPI | 1831395318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22259) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD T6004) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2019-02-01 |