| NPI | 1295946325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL pt 2187) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA pt 002833L) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |