| NPI | 1932414992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008846) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 33320) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2018-04-30 |