| NPI | 1073857322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-1218) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT PT372) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |