| NPI | 1013085232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11527) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 02179R) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-06-27 |