| NPI | 1205934536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9847) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 2184) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-01-29 |