| NPI | 1255580023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8920) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |