| NPI | 1245425784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 16302) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD 16302) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-10 |