| NPI | 1891241170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211792) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0014111) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2018-05-10 |