| NPI | 1114982550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1025) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1240) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-11-29 |