| NPI | 1952508996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6497) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-2230) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2017-09-14 |