| NPI | 1992198089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1906) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT 6505) |
| 225100000X Physical Therapist (Licence: TN 3347) | |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |