| NPI | 1265482343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 4894) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9194) |
| 225100000X Physical Therapist (Licence: MN 7132) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-03-29 |