| NPI | 1144392382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10975) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21852) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2010-06-01 |