| NPI | 1285852848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 7457) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 3815) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2009-05-14 |