| NPI | 1265504542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 14843) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH4040) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2014-05-05 |