| NPI | 1245389477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6040) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 05033R) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2009-09-29 |