| NPI | 1316983653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH6000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 06822) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2011-04-25 |