| NPI | 1013046960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11814) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0285921) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-11-02 |