| NPI | 1336291673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 4722) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 006579) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-03-03 |