| NPI | 1326166034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 9759 NC) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9759) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-10-21 |