| NPI | 1063449890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18884) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 001695) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2010-11-12 |