| NPI | 1881844199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1811) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT2222) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2018-06-13 |