| NPI | 1902087216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8245) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 11314) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2016-07-15 |