| NPI | 1932576907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 078038) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3520) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2018-12-03 |