| NPI | 1023397908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PT02404) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI 02404) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2013-05-21 |