| NPI | 1043420839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23751) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5407) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-03-14 |