| NPI | 1063663011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 19078) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 019078) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2010-10-20 |