| NPI | 1275551962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22135) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 10386) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2009-03-03 |