| NPI | 1265696330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2671) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 04289) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2009-03-05 |