| NPI | 1063470185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 688) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 574) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2008-09-30 |