| NPI | 1033360896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT010331L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 3413412401) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |