| NPI | 1023177318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 04337) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT4129) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |