| NPI | 1073847497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2007030495) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 10381) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |