| NPI | 1982909263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2962) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 1536) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2018-03-17 |