| NPI | 1316116692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 9155) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 9155) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |