| NPI | 1962713412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 14285) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6198) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2018-08-16 |