| NPI | 1871659748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 5360) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 5353-024) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2019-01-15 |