| NPI | 1144498908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8970) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL 6798942) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2011-08-24 |