| NPI | 1134155286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 001422) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 702) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-09 |