| NPI | 1205912458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 3757) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 1148) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |