| NPI | 1336252915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P11804) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MD 21312) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-09-26 |