| NPI | 1871915132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7232) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P16411) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2019-03-15 |