| NPI | 1023248804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004563) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 1473) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2011-09-14 |