| NPI | 1245273762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6168) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 8342) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-08-29 |