| NPI | 1891937504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 12072) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 1352) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2020-10-28 |