| NPI | 1952659609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1897) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0011796) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2019-06-19 |