| NPI | 1144522434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2267) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004134) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |