| NPI | 1326262254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5449) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 10296) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-08-21 |