| NPI | 1013027507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 0003674) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 01072) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-03-26 |