| NPI | 1023124971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008338) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009070A) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2008-12-12 |