| NPI | 1043478035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT22832) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT002630) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |