| NPI | 1053694315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 3527) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 13247) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2012-10-30 |