| NPI | 1265408868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 07172R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9999) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2009-04-14 |