| NPI | 1174826465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 731) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2010017114) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |