| NPI | 1194769406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 2786) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 586) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |