| NPI | 1205025905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 12148) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22392) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2012-01-10 |