| NPI | 1154577179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22998) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10002401) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2012-06-13 |