| NPI | 1831592757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 4496) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 41742) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2018-04-26 |