| NPI | 1881638278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6819) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH3952) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-10-10 |