| NPI | 1023045424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH4836) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 06643) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2008-11-13 |