| NPI | 1043209646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P9701) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 9701) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2015-03-25 |