| NPI | 1003099649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 5564) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5233) |
| 225100000X Physical Therapist (Licence: NC 10851) | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2009-10-20 |