| NPI | 1306146634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10487) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305004409) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |