| NPI | 1013227081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 5380) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 25555) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |