| NPI | 1295860948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 597) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 912) |
| 225100000X Physical Therapist (Licence: CA PT011379) | |
| 225100000X Physical Therapist (Licence: ME 00560) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |