| NPI | 1891035689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH3692) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 003914) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |