| NPI | 1285921288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT4941) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 08093) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |