| NPI | 1316176274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2340) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 3686) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |