| NPI | 1841680402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2013028644) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 60907) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |