| NPI | 1154492288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 8507) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 005606) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2010-04-28 |