| NPI | 1083862486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1293) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 01900) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-29 |