| NPI | 1902248610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26164) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023033) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2016-10-03 |