| NPI | 1952348781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5727) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 10230) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2018-06-19 |