| NPI | 1306035431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 22282) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.009079) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2010-05-03 |