| NPI | 1013975689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 007886) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA pt-013710-l) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-12 |