| NPI | 1003000464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 1722) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 3434) |
| 225100000X Physical Therapist (Licence: CA 21668) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |