| NPI | 1336165489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3303) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2005026629) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2014-08-11 |