| NPI | 1942612304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT4360) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2014027157) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2017-10-09 |